| NPI | 1548261712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANTIBHAI PATEL Physician 480-615-7800 |
| Organization Subpart ? | |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 30177) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 28930) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |